摘要
目的:调查凉山彝族自治州三级公立医疗机构医院感染防控现状。方法:选取凉山彝族自治州2020年11月前通过国家三级等级评审的8所三级公立医疗机构作为研究对象,以现场访谈联合问卷调查的方式进行医院感染防控现状调研,分析相关数据。结果:8所三级公立医院均建立独立的医院感染管理机构,并建立各项制度,开展相关培训。8所三级公立医院共有感染管理专职人员26名,其中多数从事专职感染管理工作≥5年,以中级职称为主,涉及多个专业,但以护理学人员为主。8所三级公立医院均采用多样化、个性化的培训方式,建立医院感染病流行预警机制6所(75.00%),设立感染防控质量监测指标并每年调整指标内容5所(62.50%),感染防控管理实行网格化与多学科协作6所(75.00%)。建设难点主要集中在员工晋升难度大、经费投入不足、人员待遇低等问题。综合性医院医务人员手卫生依从率高于中医医院,差异有统计学意义(P=0.005)。结论:凉山彝族自治州三级公立医院的医院感染管理工作存在员工晋升难度大、经费投入不足、人员待遇低等问题,建议进一步完善医院感染防控工作的网络架构,加强督导,优化医院感染防控管理队伍人才培养,促进医院感染防控工作向智能化、现代化转变。
Objective:To investigate the current situation of prevention and control of nosocomial infection in tertiary public medical institutions in Liangshan Yi Autonomous Prefecture.Methods:Eight tertiary public medical institutions in Liangshan Yi Autonomous Prefecture that passed the national tertiary level review before November 2020 were selected as the study objects.The current situation of prevention and control of nosocomial infection was investigated by on-the-spot interview and questionnaire survey,and the relevant data were analyzed.Results:Eight tertiary public hospitals had established independent nosocomial infection management institutions,established various systems,and carried out related training.There were 26 full-time staff for infection management in 8 tertiary public hospitals,most of them worked in infection management for≥5 years,had intermediate titles and were involved in several majors,but nursing staff were predominant.Eight tertiary public hospitals had adopted diversified and personalized training methods.Six hospitals(75.00%)had established an early warning mechanism for nosocomial infection prevalence,five hospitals(62.50%)had established quality monitoring indicators for infection prevention and control and regulated the indicators annually,and six hospitals(75.00%)had implemented grid-based and multidisciplinary cooperation in infection prevention and control management.The construction difficulties were mainly concentrated in the problems of difficult promotion of employees,insufficient investment funds and low treatment of personnel.The compliance rate of hand hygiene of medical staff in general hospitals was higher than that in traditional Chinese medicine hospitals,and the difference was statistically significant(P=0.005).Conclusion:There are problems in the management of nosocomial infection in tertiary public hospitals in Liangshan Yi Autonomous Prefecture,such as difficult promotion of employees,insufficient investment funds and low treatment of personnel.It is necessary to further improve the network structure of nosocomial infection prevention and control,strengthen the supervision,optimize the talent training of nosocomial infection prevention and control management team,and promote the intelligent and modern transformation of nosocomial infection prevention and control work.
作者
王世霞
吉晓丽
刘春晖
刘敏
涂福梅
Wang Shixia;Ji Xiaoli;Liu Chunhui;Liu Min;Tu Fumei(Sichuan Yi Medicine Hospital,Liangshan Yi Autonomous Prefecture Hospital of Integrated Traditional and Western Medicine,Xichang 615000,Sichuan Province,China)
出处
《中国社区医师》
2023年第33期158-160,共3页
Chinese Community Doctors
关键词
凉山彝族自治州
三级公立医疗机构
医院感染
Liangshan Yi Autonomous Prefecture
Tertiary public medical institutions
Prevention and control of nosocomial infection
